Family Practice Guidelines 5th Edition
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Edition Cash Glass Mullen
If a patient's INR is 1.51-1.99, how much should you INCREASE his/her
Warfarin/Coumadin dose by? - 10% per week
If a patient's INR is 1.5 or less, how much should you INCREASE his/her
Warfarin/Coumadin dose by? - 15% per week
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If a patient's INR is 2-3, how much should you CHANGE his/her
Warfarin/Coumadin dose by? - No change abirb.com/test
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If a patient's INR is 3.01-4, how much should you DECREASE his/her
Warfarin/Coumadin dose by? - 10% per week
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If a patient's INR is 4.01-4.99, how much should you DECREASE his/her
Warfarin/Coumadin dose by? - Hold one dose, andabirb.com/test
restart with dose
decreased by 10% per week.
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If a patient's INR is 5-8.99, how much should you DECREASE his/her
Warfarin/Coumadin dose by? - Hold until INR is 2 to 3. Restart with dose
decreased by 15% per week. abirb.com/test
Abdominal aortic aneurysm screening: men - one-time screening for
abdominal aortic aneurysm by ultrasonography in men ages 65 to 75 years
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who have ever smoked.
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Alcohol misuse: screening and counseling - Screen adults age 18 years or
older for alcohol misuse and provide persons engaged in risky or
hazardous drinking with brief behavioral counseling interventions to reduce
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alcohol misuse.
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Aspirin preventive medication: adults aged 50 to 59 years with a ≥10% 10-
year cardiovascular risk - Initiating low-dose aspirin use for the primary
prevention of cardiovascular disease and colorectal cancer in adults aged
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50 to 59 years who have a 10% or greater 10-year cardiovascular risk, are
not at increased risk for bleeding, have a life expectancy of at least 10
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years, and are willing to take low-dose aspirin daily for at least 10 years.
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Bacteriuria screening: pregnant women - Screening for asymptomatic
bacteriuria with urine culture in pregnant women at 12 to 16 weeks'
gestation or at the first prenatal visit, if later. abirb.com/test
Blood pressure screening: adults - screening for high blood pressure in
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adults aged 18 years or older. The USPSTF recommends obtaining
measurements outside of the clinical setting for diagnostic confirmation
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before starting treatment.
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BRCA risk assessment and genetic counseling/testing - Screen women
who have family members with breast, ovarian, tubal, or peritoneal cancer
with one of several screening tools designed to identify a family history that
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may be associated with an increased risk for potentially harmful mutations
in breast cancer susceptibility genes (BRCA1 or BRCA2). Women with
positive screening results should receive genetic counseling
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indicated after counseling, BRCA testing.
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Breast cancer preventive medications - The USPSTF recommends that
clinicians engage in shared, informed decisionmaking with women who are
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at increased risk for breast cancer about medications to reduce their risk.
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For women who are at increased risk for breast cancer and at low risk for
adverse medication effects, clinicians should offer to prescribe risk-
reducing medications, such as tamoxifen or raloxifene.
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Breast cancer screening - The USPSTF recommends screening
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mammography for women, with or without clinical breast examination,
every 1 to 2 years for women age 40 years and older.
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Breastfeeding interventions - The USPSTF recommends providing
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interventions during pregnancy and after birth to support breastfeeding.
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Cervical cancer screening - The USPSTF recommends screening for
cervical cancer in women ages 21 to 65 years with cytology (Pap smear)
every 3 years or, for women ages 30 to 65 years who want to lengthen the
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screening interval, screening with a combination of cytology and human
papillomavirus (HPV) testing every 5 years.
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Chlamydia screening: women - The USPSTF recommends screening for
chlamydia in sexually active women age 24 years abirb.com/test
or younger and in older
women who are at increased risk for infection.
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Colorectal screening - The USPSTF recommends screening for colorectal
cancer starting at age 50 years and continuing until age 75 years.
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Dental caries prevention: infants and children up toabirb.com/test
age 5 years - The
USPSTF recommends the application of fluoride varnish to the primary
teeth of all infants and children starting at the age of primary tooth eruption
in primary care practices. The USPSTF recommends primary care
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clinicians prescribe oral fluoride supplementation starting at age 6 months
for children whose water supply is fluoride deficient.
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